Individual
MADHAV B VINJAMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3015 N BALLAS RD, SAINT LOUIS, MO 63131-2329
(314) 996-5330
(314) 810-1399
Mailing address
13109 MASON BEND LN, SAINT LOUIS, MO 63141-8531
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R7A09
MO
Other
Enumeration date
06/22/2005
Last updated
04/20/2008
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